JOSE HERNAN QUIROGA PERALTA - Dentist License in Illinois | # 020012261

JOSE HERNAN QUIROGA PERALTA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012261

License Status

NOT RENEWED

Business

N

First Name

JOSE

Middle

HERNAN

Last Name

QUIROGA PERALTA

Business Name

JOSE HERNAN QUIROGA PERALTA

Original Issue Date

08/14/2007

Effective Date

09/12/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022